Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,787.34 / $2,538.80 / $2,538.80	Facility		$1,787.34	$2,538.80	$2,538.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.74 / $1,500.20 / $2,421.48	Professional		$1,186.74	$1,500.20	$2,421.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.76 / $1,960.76 / $2,740.03	Facility		$1,960.76	$1,960.76	$2,740.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.76 / $3,513.75 / $4,392.18	Professional		$1,960.76	$3,513.75	$4,392.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.92 / $3,031.05 / $3,482.56	Professional		$2,415.92	$3,031.05	$3,482.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,588.52 / $3,275.56 / $12,853.25	Facility		$1,588.52	$3,275.56	$12,853.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,225.59 / $1,634.14 / $3,403.36	Professional		$1,225.59	$1,634.14	$3,403.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,732.02 / $2,740.03 / $3,732.05	Facility		$2,732.02	$2,740.03	$3,732.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,244.13 / $3,238.22 / $5,236.18	Professional		$2,244.13	$3,238.22	$5,236.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,225.59 / $1,242.71 / $3,264.59	Professional		$1,225.59	$1,242.71	$3,264.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,441.12 / $2,441.12 / $2,441.12	Facility		$2,441.12	$2,441.12	$2,441.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,928.48 / $2,441.12 / $2,441.12	Professional		$1,928.48	$2,441.12	$2,441.12